1. When reviewing the labs of a patient with possible Graves disease, the nurse recognizes that which value will be elevated and confirm the diagnosis?
a. Creatine kinase (CK)
b. TSH (thyroid stimulating hormone)
c. Free thyroxine (free T4)
d. Low-density lipoproteins (LDLs)
2. Which clinical manifestation best describes a protrusion of the eyeball(s) associated with hyperthyroidism?
a. Ophthalmopathy
b. Exophthalmos
c. Exotropia
d. Acropachy
3. The nurse recognizes which of the following symptoms NOT related to hyperthyroidism?
a. Weight loss
b. Warm, smooth, moist skin
c. Hepatomegaly
d. Dry, sparse, coarse hair
Answers:
1.
a. Creatine kinase (CK)
-Rationale: “Creatine kinase levels will be NORMAL,” (Lewis et al. 2013).
b. TSH (thyroid stimulating hormone)
--Rationale: “The two primary laboratory findings used to confirm the diagnosis of hyperthyroidism are DECREASED TSH levels and elevated free thryoxine (free T4) levels,” (Lewis et al. 2013, p.1198). c. Free thyroxine (free T4) -Rationale: “The two primary laboratory findings used to confirm the diagnosis of hyperthyroidism are decreased TSH levels and ELEVATED free thryoxine (free T4) levels,” (Lewis et al. 2013, p.1198).
d. Low-density lipoproteins (LDLs)
-Rationale: “LDLs will be DECREASED with hyperthyroidism,” (Lewis et al. 2013).
2.
a. Ophthalmopathy
-Rationale: “Ophthalmopathy is a term used to describe abnormal eye appearance or function,” (Lewis et al. 2013, p. 1197). b. Exophthalmos -Rationale: “A classic finding in Graves’ disease is exophthalmos, a protrusion of the eyeballs from the orbits that is usually bilateral. Exophthalmos results from increased fat deposits and fluid in the orbital tissues and ocular muscles,” (Lewis et al. 2013, p. 1197).
c. Exotropia
-Rationale: “Outward deviation of the eyeball or eyeballs,” (Lewis et al. 2013, p. 392).
d. Acropachy
-Rationale: “Acropachy is clubbing of the digits that may occur with advanced hyperthyroidism,” (Lewis et al. 2013, p. 1197).
3.
a. Weight loss
b. Warm, smooth, moist skin
c. Hepatomegaly d. Dry, sparse, coarse hair Rationale: Dry, sparse, coarse hair is a clinical manifestation ofHYPOTHYROIDISM. Weight loss, warm, smooth, moist skin, and hepatomegaly are all clinical manifestations of hyperthyroidism.
1. When reviewing the labs of a patient with possible Graves disease, the nurse recognizes that which value will be elevated and confirm the diagnosis?
a. Creatine kinase (CK)
b. TSH (thyroid stimulating hormone)
c. Free thyroxine (free T4)
d. Low-density lipoproteins (LDLs)
2. Which clinical manifestation best describes a protrusion of the eyeball(s) associated with hyperthyroidism?
a. Ophthalmopathy
b. Exophthalmos
c. Exotropia
d. Acropachy
3. The nurse recognizes which of the following symptoms NOT related to hyperthyroidism?
a. Weight loss
b. Warm, smooth, moist skin
c. Hepatomegaly
d. Dry, sparse, coarse hair
Answers:
1.
a. Creatine kinase (CK)
-Rationale: “Creatine kinase levels will be NORMAL,” (Lewis et al. 2013).
b. TSH (thyroid stimulating hormone)
--Rationale: “The two primary laboratory findings used to confirm the diagnosis of hyperthyroidism are DECREASED TSH levels and elevated free thryoxine (free T4) levels,” (Lewis et al. 2013, p.1198).
c. Free thyroxine (free T4)
-Rationale: “The two primary laboratory findings used to confirm the diagnosis of hyperthyroidism are decreased TSH levels and ELEVATED free thryoxine (free T4) levels,” (Lewis et al. 2013, p.1198).
d. Low-density lipoproteins (LDLs)
-Rationale: “LDLs will be DECREASED with hyperthyroidism,” (Lewis et al. 2013).
2.
a. Ophthalmopathy
-Rationale: “Ophthalmopathy is a term used to describe abnormal eye appearance or function,” (Lewis et al. 2013, p. 1197).
b. Exophthalmos
-Rationale: “A classic finding in Graves’ disease is exophthalmos, a protrusion of the eyeballs from the orbits that is usually bilateral. Exophthalmos results from increased fat deposits and fluid in the orbital tissues and ocular muscles,” (Lewis et al. 2013, p. 1197).
c. Exotropia
-Rationale: “Outward deviation of the eyeball or eyeballs,” (Lewis et al. 2013, p. 392).
d. Acropachy
-Rationale: “Acropachy is clubbing of the digits that may occur with advanced hyperthyroidism,” (Lewis et al. 2013, p. 1197).
3.
a. Weight loss
b. Warm, smooth, moist skin
c. Hepatomegaly
d. Dry, sparse, coarse hair
Rationale: Dry, sparse, coarse hair is a clinical manifestation ofHYPOTHYROIDISM. Weight loss, warm, smooth, moist skin, and hepatomegaly are all clinical manifestations of hyperthyroidism.
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